13 Suplemente international nursing conference of Lisbon 2013

EVENTO EM DESTAQUE / FEATURED EVENT

ABRIL, 2013

INTERNATIONAL NURSING CONFERENCE LISBON 2013

Lista de Palestrantes / Speakers List

2012-now: Registered as a PHD student at the University of Venda, Thohoyandou, South Africa 2011

: Doctoral research methodology,

University of Johannesburg Louisa Tsweleng

2001-2004: Mcur (advanced midwifery and neonatal nursing science), University of Johannesburg

Personal information Nationality:

South African

Address:

Department of Advanced Nursing

1996-1998: Bcur I E (Nursing education and Administration), University of Pretoria

Science

Professional experience:

University of Venda, Private Bagx5050,

2001-2012: Lecturer, Department of Advanced

Thohoyandou, 0950

midwifery and neonatal nursing science, Ga-

Limpopo province, South Africa Current position: Lecturer: Department of Advanced Nursing Science, University of Venda, Thohoyandou, South Africa

Rankuwa nursing college, Pretoria, South Africa 1997-2000: Lecturer, Departments of general nursing, midwifery, community nursing and nursing administration. Lebone College of nursing, Pretoria, South Africa Recent presentation: 2012 : Power point presentation:

Educational qualifications:

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Topic:Reflection of the impact of the ultrasound training on the practice of the post advanced Volume 2. Edição 2

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midwifery graduates. Chris Hani Bara nursing college, Johannesburg, South Africa 2008 : Poster. Topic: The Mothers’ Experience of Pain Management during Labour. The 27th Conference in Priorities in Perinatal Care.

Indaba Hotel. Sandton South Africa

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The mother’s experience of pain management during labour

modalities, in the management of patients with pain during the first stage of labour

Tsweleng M. L Objective The objective of this study explores and describes the experiences of first-time mothers regarding pain management during the first stage of labour.

Methods Aqualitative approach involving phenomenology was used. Midwives were also interviewed to determine their assessment and management strategies in this regard in order to get abroader perspective of the focus of inquiry Findings The data collected from mothers revealed three themes and they are; the care rendered needs / wishes and beliefs / feelings of the mothers regarding the care given. These themes were further subdivided into small headings/ categories as specified in the data and elaborated on.

Eight categories of care strategies emerged from the data gathered from midwives.

Information from both the mothers and midwives were then extensively discussed and compared to the existing literature Conclusions and recommendations Conclusions were drawn and recommendations formulated to assist midwives and other health care professionals to improve their caring JOURNAL OF AGING AND INOVATION (EM LINHA) ISSN: 2182-696X / (IMPRESSO) ISSN: 2182-6951

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1992-1995: Technical Associate of

Nursing,

Yokohama City University, Japan.

Evidências da Investigação e Teorias baseadas na evidência

Professional experience:

Mai Yamanoi Personal information: Nationality: Japanese Address: 1-50-1 MUTSUURA-HIGASHI, KANAZAWA-KU YOKOHAMA 236-8503, JAPAN

2013-now:

Assistant Professor, Department of

Home Care Nursing, Graduate School of Nursing Kanto Gakuin University, Japan.

2011-2013:

Teaching Assistant

2008-2011:

Assistant Professor, Department

of Gerontology Nursing, Kawasaki City Collage of Nursing, Japan.

2004-2007:

RN, Wakakusa Nursing care

home for the physically handicapped, Japan.

Current position: Assistant Professor, Department of Home Care Nursing, Graduate School of Nursing Kanto

1995-2003:

RN, Department of Emergency

Nursing, Yokohama City University Medical Center, Japan.

Gakuin University, Japan Recent publications: Yamanoi M., Tadaka E., Taguchi H.R. Factors Educational qualifications: 2011-2013:

MSN. Department of Community

Health Nursing, Yokohama City University, Japan.

2007-2008: Reserch Student of Nursing Education, Kanagawa University of Human Service, Japan.

1997-2001: Bachelor of Economics, Faculty of Economics, Kanagawa University, Japan.

related to nutritional status in the communitydwelling elderly. Journal of Academy of Community Health Nursing,2013;16(1).( in press) Takano M., Matsumoto K., Yamanoi M., Interaction of geriatric nursing how exercise senior leads the junior, Bulletin of Kawasaki City College of Nursing,2011;16(1),65-72.

Yamanoi M., Matsumoto K., Takano M., For technical education with the aim of practical skills and strengthening the current state of technology experience in nursing Geriatric

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Nursing Practice, Bulletin of Kawasaki City College of Nursing,2010;15(1),95-102.

Yamanoi M., The role of the nursing home for mother and children with disabilities to severe, Report of Nursing research, 2008; 33,279-286.

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Mechanizm of Type Ⅰ and Type Ⅱ

giving residents little opportunities to talk, and

communication between caregivers and

thus the patients’ utterances were restricted to

patients in geriatric facilities in Japan

short replies.

Mai Yamanoi RN,MSN, Department of Home Care Nursing, Graduate School of Nursing Kanto Gakuin University, Japan Objective: This paper is to present part of the research we have conducted on the mechanisms of provider-patient communication in geriatric facilities in Japan. In our previous studies, we have identified two different types of communication between caregivers and residents: Type I (task- oriented) and Type II (life-worldly) communication. Based on those results, we examined the mechanism of communication between them, using a qualitative method of analysis.

Method: We used Conversation Analysis to investigate conversational features of the two types of communication ,were found in the linguistic exchanges between caregivers and residens. Study subjects comprised 37 residents. In this study, for the purpose of detailed, sequential analysis, we chose two typical examples of the two types of communication between them.

R e s u l t s : W e f o u n d t h a t , i n Ty p e 2 communication, the elderly were given the possibility of expanded utterance opportunities and self-initiated utterances as nursing staff presented life–worldly topics of elderly residents as topics that the elderly could and should talk about whereas, in Type 1 communication, taskoriented speeches were initiated by caregivers, JOURNAL OF AGING AND INOVATION (EM LINHA) ISSN: 2182-696X / (IMPRESSO) ISSN: 2182-6951

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2009 – M Flynn & D Mercer, J Cambil (Granada), M Barchiesi (Ancona) & D Theofanidou (Thessaloniki) €96,000 (European Union Leonardo da Vinci Programme) An esurvey of European nurses and allied health professionals use of the internet in professional practice.

2009 – M Flynn & J Davenport; £24,499 (Department of Health/Association of Greater Maria Flynn

Manchester Authorities) Review of Evidence and Survey of Smoke Free Stadia 2009 – M Flynn & R Hunter; £24,912

Current position:

Department of Health Medical Education &

Adjunct Professor of Nursing, University of

Training) Exploring the associations between

Ottawa, Canada and Lecturer, Directorate of

IMGs IELTS scores, communications scores and

Nursing, School of Health Sciences, University

appointability following interview for medical

of Liverpool.

specialty training

Educational qualifications:

2008 – M Flynn & S Meah; £80,000 (Heywood, Middleton and Rochdale PCT) Documentary

PhD, MSc, BSc (Hons), PGCE, RGN

review and postal survey to evaluate four healthy lifestyle schemes

Professional experience:

2008 – M Flynn & R Hunter; £30,101 (The

Recent Funded Research Projects

Dementias and Neurodegenerative Diseases £9,922 (NHS

Research Network (DeNDRoN) Development of

NW)NHS values and behaviours evidence

an evidence based strategy to increase patient

review and survey of NW admissions tuto rs.

and public participation in research

2011 – L Appleton, M Flynn, R Jones, P Large,

2008 – M Flynn & A Smith; £44,796 (Department

T Kavanagh, D McGlashen, C Wood. £23,336

of Health Medical Education and Training) A

(Clatterbridge Centre for Oncology Charitable

r e v i e w o f E n g l i s h l a n g u a g e ( I E LT S )

Trust) A study exploring the impact of language

requirements for entry to medical specialty

on adjustment to cancer following treatment.

training programmes.

2012 – M Flynn and D Mercer.

2010 – M Flynn; £57,000 (Merseyside & Cheshire Cancer Network) A review of cancer awareness in Merseyside and Cheshire

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Recent Papers and Publications (Selected)

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Flynn M and Mercer D (2013) What price compassionate care in an NHS ‘market’?

Nursing Times 109 (7), 12-14 Williams N and Flynn M (2013) Review of the efficacy of Neuromuscular stimulation in critically ill patients Physiotherapy Theory and Practice (Accepted for Publication March 2013) Williams N and Flynn M (2013) An exploratory study of physiotherapists views of early rehabilitation in critically ill patients Physiotherapy Theory and Practice (Accepted for Publication March 2013) Moffatt M and Flynn M (2013) A critical narrative review of the safety of acupuncture in pregnancy Journal of the Acupuncture Association of Chartered Physiotherapists (Accepted for publication July 2012) Caton ERJ and Flynn M (2013) Management of Anaphylaxis in the ED: A clinical audit.

International Emergency Nursing. 21, 64-70.

Mercer D and Flynn M (2012) Caring values in a corporate culture: Defending compassionate nursing practice in the NHS Nursing Inquiry (Under review) Cambil Martin J, Flynn M, Villaverde C (2011) Quality assurance of nursing websites: Development and implications of the ALEU method. Computers Informatics Nursing, 29 (9), 523-530.

Wright AD and Flynn M (2011) Prone positioning of ventilated patients: A review of evidence.

Nursing in Critical Care 16 (1); 19-27.

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Leonardo da Vinci Programme) An e-survey of European nurses and allied health professionals use of the internet in professional practice.

2008 – Hodge S, Barr W, Mercer D, Hagan T, Clayton J, Graham S, Haigh K £57, 796 (Merseycare NHS Trust). A first stage evaluation Dave Mercer Current Position: Lecturer, the University of

of the Merseycare Complex Psychological Problems Service.

Liverpool, Directorate of Nursing, School of Health Sciences, Liverpool, England. 2012 Adjunct Professor to the School of Nursing, and member of the Faculty of Graduate and Postdoctoral Studies, at the University of Ottawa, Canada.

Educational qualifications: PhD, MSc, BSc (Hons), PGCE, RGN

Publications and Presentations (Selected) Flynn M and Mercer D (2013) Is compassion possible in a market-led NHS? Nursing Times [Invited paper], 109 (7): 12-14.

Mercer D (2012) ‘Girly mags and girly jobs’: Pornography and gendered inequality in forensic practice. International Journal of Mental Health

Funded Research Project Experience

Nursing, 22: 15-23.

2012 – Flynn M and Mercer D £9,922 (NHS NW)

Mercer D (2012) Policing pornography in high-

NHS values and behaviours evidence review

secure care: The discursive construction of

and survey of NW admissions tutors.

gendered inequality. In Holmes D, Rudge T,

2011 - Mercer D, Chandley M and CromarHayes M £25,000 (Merseycare NHS Trust) Implementing a recovery approach on two wards

Perron A (eds) (Re)Thinking violence in health care settings: A critical approach. Surrey, Ashgate.

of a secure hospital: An action research

Mercer D and Perkins E. (2011) Of men and

approach.

monsters: The discursive construction of sex

2010 – Barr W, Mercer D, Hodge S, Haigh K, Thomas N, Brown A and Noblett S £30,000 (Merseycare NHS Trust). An exploration of the

and sexual offending in high-secure psychiatric care. The International Academy of Law and Mental Health 32nd Congress, Berlin, Germany.

discursive construction of risk in forensic mental

Perkins E and Mercer D (2011) Dangerous

health practice.

pictures and dangerous men: Female nursing

2009 – Flynn M, Mercer D, Cambil, J (Granada), Barchiesi M (Ancona) and Theofanidou, D

discourse about working in a treatment environment for sexual offenders. The

(Thessaloniki) €96,000 (European Union JOURNAL OF AGING AND INOVATION (EM LINHA) ISSN: 2182-696X / (IMPRESSO) ISSN: 2182-6951

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International Academy of Law and Mental Health 32nd Congress Berlin, Germany.

McKeown M and Mercer D (2010). Using critical theory to understand special needs offenders and secure care environments. The International Institute on Special needs Offenders and Policy Research, Niagara Falls, Canada.

McKeown M and Mercer D (2010). Mental health care and resistance to fascism. Journal of Psychiatric and Mental Health Nursing, 17: 152-161.

Mercer D (2009) Research in state institutions: A critical issue for forensic nursing. Journal of Forensic Nursing, 5: 107-108 [Invited paper].

Mercer D (2009). Talkin’ forensic nursing blues: The discursive texturing of high-security care.

Invited keynote speaker at Custody and Caring: International Biennial Conference on the Nurse’s Role in the Criminal Justice System. University of Saskatchewan, Canada.

Richman J and Mercer D (2004) ‘Modern language’ or ‘spin’? Nursing, ‘newspeak’ and organisational culture: New health scriptures.

Journal of Nursing Management, 12: 290-298.

Mercer D (2004) ‘My weariness amazes me’: The rhetoric and reality of research. Invited keynote presentation at the Forensic Psychiatric Perspectives and Possibilities Conference, Wellington, New Zealand

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CRITICAL ISSUES IN NURSING: THE COST

focus is on current debates in the United

OF COMPASSIONATE CARE IN MODERN

Kingdom, this is an issue that has global import

EUROPE

for the nursing profession in terms of clinical

Maria Flynn, Dave Mercer

practice, healthcare management and nurse education. The first part of the paper sketches out the political context of nursing, and the second section explores the implications for

The English National Health Service [NHS] is

clinical practice. In conclusion we suggest that

being subjected to widespread and radical

any failure in compassion is more likely due to

reform, where the principle of compassionate

political and organizational culture, and not to

care is increasingly seen as the driving force of

any shortcomings of nurses or nursing practice.

quality services and excellence in nursing practice. A number of high-profile cases of failings in the NHS have attracted media attention, where discourse typically focuses on

Key Words: Compassionate care; compassion deficit; nursing care; healthcare culture; healthcare markets; evidence review.

the shortcomings of nurses and the nursing profession, generating academic commentaries on the causes and effects of a ‘compassion deficit’.

The authors report the findings of a comprehensive review of national and international evidence focused on core professional values. One hundred and seventy seven (177) publications were evaluated and a total of fourteen (14) international and nineteen (19) UK research reports were included. Data from the studies were extracted and synthesized as a narrative. The key themes showed that caring and compassion are inherent nursing values which are influenced by the training curriculum, professional role modeling, but mostly by the organization and culture in which nurses’ work.

In this paper the findings of the review are discussed in relation to how compassionate care can be upheld in a European Union suffering an unprecedented financial crisis. Although the

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1991-1996:

Associate Professor, Kanagawa

Prefectural College Nursing Medical Technology Public Health, Kanagawa, Japan 1989-1991:

Public Health Nurse, South

Yamato Hospital, Kanagawa, Japan

Yasuko Fukaya Personal information: Nationality: Japan

Recent publications: Yasuko Fukaya, Takanori Kitamura. Status of Capability ADL and Performance ADL (ADL Gap) in Community Elderly With Disabilities and

Address: School of Health Sciences, Tokai

Development of ADL Gap Self-Efficacy. In Jean,

University, Kanagawa, Japan

B, G. Editor & Charlotte ,V. Editor, Activities of

Current position: Professor, School of Health Sciences, Tokai University, Kanagawa, Japan Educational qualifications:

Daily Living:Performance,Impact on Life Quality and Assistance. 2013(in press); NY, USA, Nova Science Publishers, Inc, 97-118 Yasuko Fukaya, Sachiyo Koyama, Yusuke kimura, Takanori Kitamura. Change in speaking time of elderly people who require facility care

1999:

PhD., Health Science, Tokyo University,

Tokyo, Japan

when sosial communication from staff is increased in japan, USM internatinal nursing

1987-1989: MNS., St. Luke’s College of Nursing, Tokyo, Japan 1985-1987: Bachelor of Nursing, St. Luke’s College of Nursing, Tokyo, Japan

confernce 2011. 2011; University Sains Malaysia, 51-57 Yasuko Fukaya, Sachiyo Koyama, Yusuke kimura, Takanori Kitamura. Education to promote verbal communication by caregivers in

Professional experience: 1998- now:

Professor, School of Health

geriatric care facilities. Japan Academy of Nursing Science. 2009 : 16 : 91-103

Sciences, Tokai University, Kanagawa, Japan 1996-1998:

Associate Professor, School of

Health Sciences, Tokai University, Kanagawa, Japan

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Analysis of Elderly Utterances and Their

initiated utterances before and after educational

Conversational Freedom in Type Ⅱ

intervention for caregivers were statistically

Communication with Caregivers in Japan

analyzed through the comparison of two groups．

Yasuko Fukaya1, Takanori Kitamura2, Sachiya Koyama3 1School of Health Sciences, Tokai University, Japan, 2School of Law, Tokai University, K a n a g a w a , J a p a n , 3 K i t a z a t o U n i v e r s i t y, Kanagawa, Japan

Results: After intervention elderly utterance duration in response to caregivers’ Type II speech increased 112.64 s (SD = 224.48) in the Increase Group, but declined 59.13 s (SD = 133.18) in the Decrease Group, a significant difference (p = .01). When these were stratified

Objective: This study is based on the research

according to the type of utterance, the duration

that we have previously conducted, in which we

of Type II utterances increased 61.38 s (SD =

found that the communication between

111.57) in the Increase Group, but declined

caregivers and elderly residents in geriatric

88.16 s (SD = 170.25) in the Decrease Group, a

facilities in Japan fell into 2 Types: ‘Task-oriented

significant difference (p = .01). The frequency of

’ ( Ty p e 1 ) a n d ‘ L i f e - W o r l d l y ’ ( Ty p e 2 )

utterances also increased 28.43 times (SD =

communication. We also found an educational

44.60) in the Increase Group, but decreased

intervention increased the duration and

37.25 times (SD = 40.60) in the Decrease

frequency of caregivers Type 2 speech. The

Group, also significant (p = .001). Comparing

current study further investigates this topic, by

self-initiated elderly utterances in the Increase

analyzing the ways in which caregivers Type2

Group and Decrease Group in response to Type

speech affects elderly residents’ utterances,

II speech by staff, the duration of self-initiated

particularly focusing on residents’ self-initiated

utterances in the Increase Group increased

utterances.

27.76 s (SD = 69.75) and decreased 19.13 s (SD = 56.44) in the Decrease Group, a

Method: Study subjects comprised 37 residents

significant difference (p = .04). When these were

and 249 caregivers. Measurement of the type

stratified by the type of self-initiated utterances,

and quantity of caregiver speech and elderly

compared to an increase of 20.43 s (SD =

utterances was performed twice for each facility

52.00) in the duration of Type II self-initiated

for a total of two days of data. We recorded all

utterances in the Increase Group, the Decrease

conversation between them, using a recording

Group showed a decrease of 19.94 s (SD =

device, based on which a verbatim transcript

39.51), which was significant (p = .01).

was produced. When changes in the duration of Type II speech by caregivers were compared

Conclusions. This study showed that when the

before and after educational intervention, two

duration of Type II speech by caregivers

groups were classified (Increase Group/

increased, the duration and frequency of Type II

Decrease Group). Changes in the duration and

utterances and self-initiated by the elderly

frequency of the elderly utterances and self-

tended to increase.

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and Adult Females. European Spine Journal; 19(5):768-773. 2010.

Abbas J., Hamoud K., Masharawi Y., May H., Medlej B., Ori H., Peled N., Hershkovitz I. Ligamentumflavum thickness in normal and stenotic lumbar spines. Spine; 20(35): 1225-30.

2010.

Youssef Masharawi Current position: Senior Lecturer, Head of Spinal Research Laboratory, Physical Therapy Department, Sackler Faculty of Medicine Member of Associate Board-Spine Journal, USA Educational qualifications: 2007-2008: Post-Doc., Back Center, Odense, Denmark

Abbas J., Hamoud K., May H., Hay O., Medlej B., Masharawi Y.Peled N., Hershkovitz I. Degenerative lumbar spinal stenosis and lumbar spine configuration. European Spine Journal; 19(11):1865-73. 2010.

Steinberg N., Siev-Ner I., Peleg S., Dar G., Masharawi Y., Hershkovitz I. Injury pattern in young non-professional dancers. Journal of Sports Sciences; 29(1):47-54.2011.

Dar G., Masharawi Y., Peleg S., Steinberg S., May H.,Medlej B., Hershkovitz I. The Epiphyseal

1999-2003: Ph.D, Anatomy & Anthropology, Tel-

Ring: A Long Forgotten Anatomical Structure

Aviv U.

with Significant Physiological Function. Spine;

1995-1996: M.APP.Sc, Manual Therapy, University of South Australia 1986-1990: B.P.T., Physical Therapy, Tel-Aviv U. Major publication (2010-2012): Dar G., Masharawi Y., Peleg S., Steinberg N., May H., Medlej B., Hershkovitz I. Schmorl's nodes distribution in the human spine and its possible etiology. European Spine Journal; 19(4)670-675. 2010.

Masharawi Y., Dar G., Peleg S., Steingberg N., Medlej B., May H. Hershkovitz I. A Morphological Adaptation Of The Thoracic And Lumbar Vertebrae To Lumbar Hyperlordosis In Young JOURNAL OF AGING AND INOVATION (EM LINHA) ISSN: 2182-696X / (IMPRESSO) ISSN: 2182-6951

36(11):850-6. 2011.

Abbas J., Hamoud K., Peleg S., May H., Masharawi Y., Cohen H., PeledN., and Hershkovitz I. Facet joint orthrosis in normal and stenotic lumbar spines. Spine; 36(240:E1541-6.

2011.

Masharawi Y., Salame K. Shape variation of the neural arch in the thoracic and lumbar spine: characterization of its asymmetry and relationship with the vertebral body. Clinical Anatomy; 24(7):858-67. 2011.

Moller A., Masharawi Y. The effect of first ballet classes in the community on thoracic kyphosis, lumbar lordosis, hip external rotation and joint

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laxity in young girls. Physical Therapy in Sport; 12(4):188-93. 2011.

Beladev N., Masharawi Y. The effect of groupexercising on females with non-specific chronic low back pain in a sitting position. A pilot study.

Journal of Back and Musculoskeletal Rehabilitation; 24(3):181-8. 2011.

Masharawi Y. Lumbar Shape characterization of the neural arch and vertebral body in spondylolysis: A comparative skeletal study.

Clinical Anatomy; 25(2):224-230. 2012.

Mannion A., O'Riordan D, Dvorak J, Masharawi Y.The relationship between psychological factors and performance on the BieringSorensen back muscle endurance test. Spine Journal; 11(9):849-57. 2011.

Masharawi Y., Kjaer P., Manniche C., Bendix T. Lumbar sagittal shape variation vis-à-vis sex during growth: a 3-year follow-up magnetic resonance imaging study in children from the general population. Spine;37:501-7. 2012.

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The effect of group exercising with

preferences on range of motion, pain intensity,

directional and positional preferences on

and function parameters in females with non-

females with non-specific chronic low back pain.

Masharawi Youssef Spinal Research Laboratory, Physical Therapy Department, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Israel.

specific CLBP. METHODS: Three randomized controlled pilot studies were conducted on females aged 40 to 70 who have suffered from NSCLBP. The exercise protocols were given bi-weekly for 4 weeks and were based on: a- non-weightbearing positions; b- weight-bearing positions, and c- rotational exercises.

All participants in

the exercise and control groups were examined once before the program started (t0), and once BACKGROUND: Non-specific chronic low back

at the end of the program (t1). The exercise

pain (NSCLBP) is a common cause of disability

groups were examined again after 2 months as

in everyday functioning in the modern world and

a follow-up (t2). All groups received training on

a financial burden on the patient and society.

the right lifestyle for caring for the lower back.

Most common treatment in NSCLBP is

The control groups had a four week wait until the

conservative and including medicines and

second session. The study tested range of

physiotherapy. The group practices advantage

motion of the lower back (flexion, extension,

over other types of practices because it focuses

right and left rotation), pain intensity at rest

on the patient's sense of security, his high

(VAS) and assessment of functional capacity

response, willingness to support the other and

after NSCLBP by Roland Morris Disability

thus increases his motivation and ability to

Questionnaires (RMQ).

examine and report on his improvement. Most studies directional preferences note especially the sagittal plane and backward movement (extension) in particular as manual treatment and exercise. Despite the importance of directional preference, there was no deep research of other directions, such as rotation, and their contribution to improve NSCLBP. Similarly, most studies on active group exercises in NSCLBP used a mixture of body positioning in their protocols with no preferences for weightbearing or non-weight-bearing exercises.

OBJECTIVE: To examine the effects of group

RESULTS: There were significant improvements in most dependent variables in the positional studies (weight-bearing and non-weight bearing positions) as follows (p<0.05): an increase in lumbar flexion and extension (mean differences of 6◦ for flexion and 4◦ for extension; reduction in VAS score (mean difference = 4.21); an increase in RMQ total score (mean difference= 10.76).

Changes in the VAS score was highly correlated with changes in the RMQ score (r = −6.35).

There were no significant improvements were indicated, however, in any of the dependent variables in the rotation exercise group (p>0.05).

exercising with positional and directional

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CONCLUSIONS: Unlike the positive effect of group exercising conducted in weight-bearing and non-weight-bearing positions, group exercising with directional preference into rotation did not affect the range of motion of the lower back, the pain intensity and functional level in individuals with non-specific CLBP.

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Transition into Practice Conundrum

environment presents to the graduates as a set of skills that must be achieved and, eventually, creates an opportunity for learning from practical

Lina Kantar American University of Beirut, Lebanon Although the educational preparation of nurses fails to meet the demands of health care systems, actual practice and clinical education of nursing graduates remains unexplored. In this multiple-case study design, the clinical practice of new graduates who had worked for three months was examined through the narratives of 20 preceptors. The preceptors were selected from three recognized hospitals in Beirut, Lebanon, and responses were analyzed using NV ivo 8 qualitative software. Through content analysis research technique, the curriculum documents of three baccalaureate nursing

realities. The traditional curriculum dominated in the three programs and instructional approaches were almost all teacher-centered. Findings converge on the need for a transformation in nursing education, thus supporting relentless calls for curriculum innovation.

Recommendations that have impact on graduates’ transition are categorized into academia and service. The joint efforts of both are cardinal for resolving transition challenges.

The discipline, educational leaders, and inservice executives might benefit from the findings as suggestions for change are illuminated in regards to how nurses must be adequately prepared prior to assuming professional roles.

programs that prepared the graduates of the study’s key informants were analyzed.

Curriculum analysis aimed at relating the role of the curriculum in the transition process. This exploration of graduates’ transition supports and extends the Dreyfus model of advanced beginner practice, and further articulates Tanner’s descriptions of the four dimensions of clinical judgment. In this study, two core aspects of transition were explored: (a) experiences of graduates in practice and (b) instructional strategies employed in the curriculum. Findings revealed that experiences of nurses when in transition occur in different forms, evolving into four phases of practice: exposure to clinical situations, conceptualization of change, decisions for acting and doing, and finally assessment of enacted decisions. From the perspective of the 20 preceptors, the clinical

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Challenges faced by student nurses when

Researchers recommended that there should be

plotting partogram in labour units of

more collaboration between the college and the

Limpopo province, South

labour wards staff and that the number of clinical

AfricaCorrespondence address

lecturers increased. In conclusion, strategies to

KE Mothapo & SM Maputle University of Venda Introduction: Midwifery education and training prepare student midwives to manage a pregnant woman and her unborn baby. It is documented

improve the integration of midwifery theory to practice on plotting of partogram by student nurses in labour units in Limpopo were recommended.

Key words: Plotting of partogram, Labour units, student nurses, theoretical and practical content

that management could be accurately achieved by plotting of partogram which is a specialized tool to monitor women during labour and delivery. However, it has been noted that its utilization in the labour units of Limpopo province needs to be explored.

The purpose of this study was to explore the theory and practica taught regarding plotting of the partogram and challenges faced by student nurses when plotting partogram during their education and training.

Methods: Population comprised of all the student nurses registered with the College of Nursing and in their Level 111 and Level 1V of their training at three campuses. Qualitative research design which was exploratory and descriptive was sed. Focus Group discussion, unstructured interview was used to collect data; a voice recorder was used to record conversation and field notes were also written by the researcher.

Data was analyzed qualitatively in three phases - descriptive, analysis and interpretive.

Findings: Findings indicated that student nurses were taught different contents on partogram by the college staff and the registered midwives in the labour wards. Recommendations: JOURNAL OF AGING AND INOVATION (EM LINHA) ISSN: 2182-696X / (IMPRESSO) ISSN: 2182-6951

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LISBON, Internacional Nursing Conference 2013 DATA: 7 de junho de 2013 LOCAL: Escola Superior de Enfermagem Lisboa Parque das Nações, na Av. D. João II, Lote 4.69.01 Lugares limitados ao espaço da conferência

INCLUI (GRATUITAMENTE): Acesso ao espaço da conferência, coffee break, pasta com documentação, indentificador de conferencista, certificado de presença, certificado de formação 8H, entrada para Feira de Emprego e uma dose de empreendedorismo.

ORGANIZAÇÃO CONJUNTA:

PhD, School of Health Sciences, Tokai University, Kanagawa, Japan Topic:Analysis of Elderly Utterances and Their Conversational Freedom in Type Ⅱ Communication with Caregivers in Japan.

Commentator: To designate.

10.30-11:30 Mai Yamanoi Japan RN, MSN, Department of Home Care Nursing, Graduate School of Nursing Kanto Gakuin University, Japan Topic: Mechanizmof TypeⅠ and TypeⅡ communication between caregivers andpatients in geriatric facilities in Japan.

Commentator: To designate.

PROGRAMA

11:30-12:00 COFFEE BREAK

08:00 - OPENING OF THE SECRETARIAT

12:00-13:00 Maria Flynn UK

09:00 - OFFICIAL RECEIPT OF ENTITIES AND NATIONAL AND INTERNATIONAL GUESTS 09:10 -OPENINGSPEECH

9:30-10:30 Yasuko Fukaya Japan JOURNAL OF AGING AND INOVATION (EM LINHA) ISSN: 2182-696X / (IMPRESSO) ISSN: 2182-6951

Maria Flynn, SeniorLecturer, DirectorateofPostgrad uateStudies, SchoolofHealthscience s, Universityof Liverpool

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Dave Mercer UK Dave Mercer, Adjunct Professor ofNursing, UniversityofOttawa, Canada andLecturer, DirectorateofNursing, SchoolofHealthScienc es,Universityof Liverpool Topic:CriticalIssue in Nursing: TheCostofCompassionate Care in ModernEurope.

Commentator: To designate.

16:00-17:00 LouisaTsweleng South Africa Lecturer: DepartmentofAdvanc edNursingScience, Universityof Venda, South Africa Topic:Themother'sexpe rienceofpain management duringlabour.

Commentator: To designate.

17:00 - FINAL SPEECH

13:00-14:30 LUNCH 14:30-15:30 SMMaputle South Africa Universityof Venda, Thohoyandou Topic: Challengesfacedb ystudentnurseswh enplottingpartogr am in labourunitsof Limpopo province, South Africa Correspondencea ddress.

Commentator: To designate.

15:30-16:00 COFFEE BREAK

JOURNAL OF AGING AND INOVATION (EM LINHA) ISSN: 2182-696X / (IMPRESSO) ISSN: 2182-6951

Volume 2. Edição 2